Individual
REANNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 N BIRCH AVE, BROKEN ARROW, OK 74012-2690
(918) 960-0926
Mailing address
1215 N BIRCH AVE, BROKEN ARROW, OK 74012-2690
(918) 960-0926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223739
OK
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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